• The Journal of Korean Physical Therapy
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• 제35권3호
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• pp.83-88
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• 2023

Purpose: This study was to investigate the effect of forward head posture (FHP) and round shoulder posture (RSP) on changes in muscle activities according to shoulder flexion and abduction tasks. Methods: Twenty-two male subjects with no history of neurological, musculoskeletal surgery or injuries, or pain in the spine region within the previous 3-month periods were recruited for this study. Craniovertebral angle (CVA) and Scapula Index were measured before performing 90° abduction and flexion tasks holding a 3kg dumbbell. Muscle activities were measured during the tasks. All measurements except height of the acromion were carried out in a sitting position at the height of the subject's knee angle of 90 degrees, and two tasks were randomly performed with the arm that the subject mainly use to throw the ball. The abduction and flexion angles were checked by the examiner using a goniometer beside the subject. Results: Correlation coefficient analysis between Scapular Index and upper trapezius muscle activity during shoulder abduction task showed significant positive correlation. No significant correlation was observed between CVA, Scapular Index, and other muscle activities. Conclusion: FHP showed increased muscle activation, making it difficult to change muscle activity under lower loads, and RSP was correlated with UT activation in shoulder abduction. Therefore, in the RSP, the loaded shoulder abduction is considered a potential risk factor for increasing shoulder muscle tension. This paper proposes an approach to treating RSP before FHP.

• 한국전문물리치료학회지
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• 제23권2호
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• pp.57-66
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• 2016

Background: For the treatment of forward head posture (FHP) and forward shoulder posture, methods for strengthening scapular retractors and deep cervical flexors and stretching pectoralis and upper cervical extensors are generally used. No study has yet assessed whether suboccipital release (SR) followed by cranio-cervical flexion exercise (CCFE) (SR-CCFE) will result in a positive change in the shoulders and neck, showing a "downstream" effect. Objects: The purpose of this study was to investigate the immediate effects of SR-CCFE on craniovertebral angle (CVA), shoulder abduction range of motion (ROM), shoulder pain, and muscle activities of upper trapezius (UT), lower trapezius (LT), and serratus anterior (SA) and LT/UT and SA/UT muscle activity ratios during maximal shoulder abduction in subjects with FHP. Methods: In total, 19 subjects (7 males, 12 females) with FHP were recruited. The subject performed the fifth phase of CCFE immediately after receiving SR. CVA, shoulder abduction ROM, shoulder pain, muscle activities of UT, LT, and SA, and LT/UT and SA/UT muscle activity ratios during maximal shoulder abduction were measured immediately after SR-CCFE. A paired t-test and Wilcoxon signed-rank test were used to determine the significance of differences in scores between pre- and post-intervention in the same group. Results: The CVA (p<.001) and shoulder abduction ROM (p<.001) were increased significantly post-versus pre-intervention. Shoulder pain was decreased significantly (p<.001), and LT (p<.05) and SA (p<.05) muscle activities were increased significantly post- versus pre-intervention. The LT/UT muscle activity ratio was increased significantly post- versus pre-intervention (p<.05). However, there was no significant change in UT muscle activity and SA/UT muscle activity ratio between pre- and post-intervention (p>.05). Conclusion: SR-CCFE was an effective intervention to improve FHP and induce downstream effect from the neck to the trunk and shoulders in subjects with FHP.

• 한국산학기술학회논문지
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• 제13권3호
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• pp.1229-1237
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• 2012

본 연구는 파악력의 강도가 두 가지 팔 자세에서 어깨근육 근활성도에 어떠한 영향을 미치는지 알아보기 위하여 실시되었다. 건강한 성인 22명(남 11명, 여 11명)을 대상으로 실시하였고, 4가지 파악력(최대 파악력의 0%, 30%, 50%, 70%)을 팔의 중립 자세와 팔 $90^{\circ}$ 거상 자세에서 적용 했을 때 상승모근, 하승모근, 극하근, 전삼각근, 후삼각근의 근활성도를 표면 근전도를 이용하여 측정하였다. 팔 중립 자세에서는 파악력의 강도에 따라 극하근, 전삼각근, 후삼각근이 유의한 차이를 보였고(p<0.05), 팔 $90^{\circ}$ 거상 자세에서는 전삼각근, 후삼각근이 유의한 차이를 보였다(p<0.05). 본 연구의 결과, 2가지 팔의 자세에서 각각 파악력의 강도에 따라 어깨근육 근활성도가 변화됨을 확인하였다. 손 쥐기 과제를 중립자세에서 실시할 경우 어깨관절 안정근인 극하근이 활성화되고, 팔 $90^{\circ}$ 거상 자세에서는 삼각근을 억제된다는 점을 고려하여, 손을 사용하는 작업 시 인간공학적 접근으로 어깨 손상의 예방과 손상 후 재활 훈련 시 효율적인 전략으로 사용할 수 있을 것으로 여겨진다.

• Journal of Oral Medicine and Pain
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• 제21권2호
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• pp.393-405
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• 1996

This study was performed to investigate the effects of changes of head posture and cervical spine shape on the mandibular resting or clenching electromyographic(EMG) activity in anterior temporalis(TA), masseter(MM), sternocleidomastoid muscle(SCM) and trapezius insertion(TI). 30 patients with Temporomandibular Disorders(TMDs) participated in this study. EMG activity($\mu$V) at rest and clenching was observed in four head postures, namely natural head posture(NHP), forward head posture(FHP), upward head posture(UHP), and downward head posture(DHP). For taking in upward or downward head posture head was inclined 10$^{\circ}$ upward or downward and CROM$^\textregistered$(cervical-range-of motion, Performance attainment Inc., USA) was used to maintain same posture during the procedure, and BioEMG$^\textregistered$ (Bioelectromyograph, Bioresearch Inc., USA) was used to record EMG activity in the above four muscles at eight locations on both sides. The recorded EMG activity($\mu\textrm{V}$) were compared and analyzed by cervical spine shape such as the head position from plum line, cervical curvature, and cervical inclination. Head position from plum line was measured in vertical plate calibrated with cm scale, comical curvature by radius was measured with adjustable curved ruler, and cervical inclination by cervical vertebrae tangent(CVT)was measured in lateral cephalograph. The results obtained were as follows : 1. Mean value of head position from plum line, cervical curvature, and cervical inclination were 4.8cm, 26.7cm, and 86.6$^{\circ}$, respectively, And There were no correlationship among these items. 2. For resting EMG activity by head posture, the value in anterior temporalis was higher at FHP than at DHP, the value in masseter was higher at FHP than at NHP, and DHP, the value in sternocleidomastoid muscle was higher at UHP than at NHP, and the value in trapezius insertion was higher at FHP and DHP than, NHP and UHP. The clenching EMG activity, however, did not show any difference by head posture. 3. Comparison of resting and clenching EMG activity between higher and lower groups by head position from plum line, cervical curvature, and cervical inclination did not show any significant difference. From this result, the author concluded that the cervical spine shape had not significantly affected to EMG activity in usual patients with TMDs.

• 한국산학기술학회논문지
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• 제14권3호
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• pp.1258-1265
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• 2013

본 논문의 목적은 랩탑 컴퓨터의 터치패드 및 두 개의 클릭 버튼 위치에 따른 손목과 어깨 부위 근육의 EMG 진폭 및 중앙 주파수 변화를 알아보는 것이다. 기존 연구결과를 바탕으로 손목과 어깨의 외전현상이 근골격계질환으로 이어지는 메커니즘을 살펴보고, 이를 토대로 연구가설이 설정되었다. 실험에서 터치패드 및 클릭버튼의 위치는 기존의 중앙 아래(bottom center, BC)와 중앙 아래에 위치하지만 $45^{\circ}$ 반시계방향으로 회전된 방식(bottom center with rotation, BCR), 그리고 회전없이 중앙 오른쪽에 위치한 경우(bottom right, BR)가 비교되었다. 10명의 피실험자는 오른 손으로 5분 동안 터치패드 및 두 개의 버튼을 이용하는 task를 각각의 시행하는 동안 EMG 진폭과 중앙 주파수가 측정되었다. 손목 부위의 근육은 척측수근굴근, 어깨부위의 근육은 위쪽 승모근이 선정되었다. 실험결과 손목부위에서는 BC의 경우가 진폭은 크게 나타나고 중앙 주파수는 작게 나타났으며, 어깨부위에서는 BC와 BCR이 BR보다 진폭은 크고 중앙 주파수는 작게 나타났다. 또한, 손목부위에서는 진폭과 중앙 주파수 모두에서 BCR과 BR의 차이가 유의하게 나타나지 않았고, 어깨부위에서는 BC와 BCR에서의 차이가 나타나지 않았다. 이러한 결과는 BC에서는 손목과 어깨의 외전이 동시에 나타나고, BCR은 어깨의 외전만, 그리고 BR은 손목과 어깨에서 외전이 모두 나타나지 않기 때문이다.

• 패션비즈니스
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• 제13권4호
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• pp.137-153
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• 2009

Recently, young men have become more muscular as they become more interested in physical figure. However, most of these muscular men have fit problems regarding ready-made clothes. In view of this, this study aimed to develop a prototype jacket pattern for muscular men. For this study, five muscular men were selected to put on existing jacket pattern for wearing tests. The regression formula, in which muscular men body measures were adopted, was applied to unsuitable parts, especially the areas determined not to be appropriate in the evaluation of existing jacket pattern wearing tests. After the first and the second jacket pattern wearing tests, the final jacket pattern suitable for muscular men was developed. The results of the study were as follows: In order to make up for the problem of the loosening of the lapel area, due to the development of the chest muscle, the chest circumference line on the chest area of the pattern was cut to be 1.0cm wide; thus, the front length was modified with an increase. The wearing tests found that a wearers felt discomfort from the tight armhole area, so the armhole depth was set to be a little lower than that of ready-made clothes. A muscular men needs much more extra quantity in this area because the upper part of the back side is projected due to the greater development of the trapezius muscle and the deltoid than in average men. Hence, concerning the standard line for the length of the back interscye, ease of 1.0cm was added to the regression equation formula {(0.371${\times}$chest circumference+3.145)/2} in order to resolve the discomfort with the back area. Also, for the biacromion length, the upper arm protruded more than the shoulder point of the jacket because of the development of the deltoid and the upper arm muscle, and it was set to be wider than the actual shoulder. In order to solve the problem of discomfort from the narrow neck area during the wearing of a jacket owing to the development of the trapezius muscle, extra ease of 0.5cm was added to chest circumference/12-0.5cm in the existing jacket prototype to the width of back of the neck, and it was corrected to be chest circumference/12.

• 한국산학기술학회논문지
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• 제18권4호
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• pp.624-631
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• 2017

본 연구의 목적은 머리 전방 자세 성인에 대하여 8주간 슬링에서의 푸쉬업 플러스 운동이 근활성도와 폐기능에 어떠한 영향을 미치는지 알아보고자 하였다. 총 16명의 머리 전방 자세 성인이 모집 되었고 대조군과 실험군으로 각 8명씩 배정 되었다. 슬링에서의 니푸쉬업 플러스와 안정한 면에서 니푸쉬업 플러스 운동을 2015년 7월 6일부터 8월 28일까지 8주간 나누어 시행하였고 주 3회 실시하였다. 머리 척추각을 측정시 두군에서 (p<0.001)의 증가를 보였고 머리 회전각 측정시 대조군에서 (p<0.05), 실험군에서 (p<0.001)의 감소를 보였다. 두 군에서 근활성도는 위 등세모근(p<0.001)의 감소와 앞톱니근, 아래 등세모근의(p<0.001)의 증가를 나타내었고 폐기능 측정시 대조군에서(p<0.01), 실험군에서(p<0.001)의 증가를 보였다. 결론적으로 푸쉬업 플러스 운동은 머리 전방 자세를 개선시키고 호흡근들의 활성화를 높일뿐더러 폐기능 강화에 효과적이며 슬링에서의 푸쉬업 플러스 운동이 머리 전방 자세의 개선에는 더욱 효과적이지만 폐기능에는 유의한 차이가 없었다. 따라서 슬링에서의 푸쉬업 플러스 운동은 머리 전방자세 성인의 자세 개선과 폐기능에 효과적인 운동으로 추천 된다.

• 디지털융복합연구
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• 제10권1호
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• pp.399-405
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• 2012

본 연구의 목적은 지지 면이 다른 조건(안정, 상지 불안정, 하지 불안정, 상하지 불안정)에서의 푸시업 플러스운동이 어깨 안정근의 근 활성도에 미치는 영향을 비교 하는 것이다. 본 연구에서는 18명의 정상인이 자발적인 참여를 했다. 측정 방법은 지지 면이 다른 조건에서 푸시압 플러스를 수행 하는 동안 위세모근, 큰가슴근, 앞톱니근을 표면 근전도로 기록 하였다. 연구 대상자에게는 총 7일 동안 측정을 실시하였다. 결과 값은 푸쉬업 플러스를 실시한 실효치 값의 평균으로 제시하였다. 분석 방법은 반복 측정된 일원배치 분산분석을 이용하였다. 그 결과 위세모근과, 큰가슴근은 다른 조건의 지지 면과의 비교에서는 유의한 차이가 나타나지 않았다(p>.05). 하지만 앞톱니근에서는 상하지가 불안정한 조건일 때 푸쉬업 플러스 운동을 하는 동안 근 활성도가 가장 많이 향상되었다(p<.05). 따라서 본 연구에서는 어깨의 안정성을 향상시키기 위한 푸쉬업 플러스 운동 방법으로는 상 하지가 모두 불안정한 지지 면을 제공 할 때 가장 효과적 이였다.

• 한국전문물리치료학회지
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• 제20권2호
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• pp.28-37
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• 2013

This study examined differences in the activity of upper limb muscles according to how an ultrasound head is gripped. Twenty-two adult males were participated in the study. Each participant was asked to apply ultrasound treatment on to a lump of pork meat by two different ultrasound head grip patterns: spherical and cylindrical grips. Muscle activity was measured in the extensor carpi radialis longus (ECRL), flexor carpi ulnaris (FCU), and pronator teres (PT), triceps brachii (TB), middle deltoid (MD), and upper trapezius (UT) muscles. There were no significant differences in the EMG signals of any muscle according to the ultrasound head grip pattern (p>.05). There were significant differences in the EMG signal of each type of muscle (p<.05). The EMG signal of UT was the lowest and that of TB was lower than ECRL and FCU. There were interactions between ECRL and FCU, between ECRL and PT, between FCU and ECRL, and between FCU and MD. The EMG signal of ECRL using the cylindrical head was low and that of FCU with the cylindrical head was high, while the opposite was the case with the spherical head ($p_{adj}$ <.05/15). The results of this study indicate that the wrist muscles worked actively when the participants applied ultrasound therapy using both spherical and cylindrical heads. A spherical head might induce imbalanced muscle activity among the wrist muscles, leading to deviation of the wrist joint. Therefore, the cylindrical head is recommended for ultrasound therapy because it produced a constant, repeated force.

• 재활복지공학회논문지
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• 제7권2호
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• pp.91-99
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• 2013

본 논문에서는 로잉 운동 시 팔의 운동 궤적별 상 하지 근육활성화와 근력변화를 고찰하였다. 피험자는 로잉운동이나 운동관련 상해경험이 없는 20대 남성 20명을 대상으로 진행하였다. 피험자들은 기존의 운동궤적으로 운동을 하는 대조군과 새로운 운동궤적으로 운동을 하는 훈련으로 각각 10명씩 나누어 실험을 진행하였다. 운동은 총 8주간 주 3일 운동을 실시하였다. 운동 중 실시간 근전도를 측정하였으며 매주 1회 관절토크를 측정하였다. 실시간 근전도 결과 운동궤적에 따라 서로 다른 근육활성개시구간을 나타냈다. 이는 운동궤적에 따라 운동추진력을 다른 근육에서 활성화 하는 것을 의미하며, 관절토크 변화에서도 운동궤적에 따라 다른 변화를 나타냈다. 직선궤적운동에서는 상지 보다는 하지의 토크 변화가 컸으며 이는 운동 추진력을 하지 위주로 발생되는 것을 의미한다. 타원궤적운동에서는 상지, 요추, 하지 모두에서 큰 토크 변화가 나타났으며 이는 운동 추진력을 단관절이 아닌 다관절에서 발생되는 것으로 판단된다.